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患者女性,38岁,因近二个月来胸闷、气短、心率慢,疑有病窦综合征转来我院。查体:血压18.7/12kPa(140/90mmHg),心界不大,心率46次/min,律齐,未闻病理性杂音,x线心脏象及二维超声心动图检查均无异常,心电图示交接区性逸持心律伴逆行P~-波,心率46次/min,R-P~-间期0.22s。住院期间动态心电图及多次常规心电图检查均为交接区性逸搏心律,未见窦性P波,心率波动于32—76次/min之间,R-P~-间期亦相应变化于0.28→0.18s。未见同一心率时R-P~-间期的突然明显改变,亦未见反复搏动。阿托品试验(静注2mg)阳性。临床诊断:窦综合征。
Female patients, 38 years old, due to chest tightness in recent months, shortness of breath, slow heart rate, suspected sinus sick syndrome transferred to our hospital. Examination: blood pressure 18.7 / 12kPa (140 / 90mmHg), heart is not big, heart rate 46 beats / min, law Qi, no pathological murmur, x-ray heart and two-dimensional echocardiography showed no abnormality, ECG Metastatic regional escaping rhythm with retrograde P ~ - wave, heart rate 46 beats / min, RP ~ - interval 0.22s. Ambulatory electrocardiogram and multiple routine electrocardiogram during hospitalization were all transitional escape rhythm, no sinus P wave, heart rate fluctuations between 32-76 beats / min, RP ~ - interphase also corresponding changes in 0.28 → 0.18 s. No significant change in R-P ~ - interval at the same heart rate, nor repeated pulsation. Atropine test (intravenous 2mg) positive. Clinical diagnosis: sinus syndrome.